LVA · VLNT · Complete Decongestive Therapy — Comprehensive lymphedema management by Pune's only dedicated lymphedema surgeon, Dr. Pranav Thusay.
Lymphedema is a chronic condition of abnormal swelling caused by damage or obstruction to the lymphatic system — most commonly after cancer treatment (surgery, radiation), infection, or trauma. The limb becomes persistently swollen, heavy and uncomfortable, and if left untreated, progresses to skin changes, recurrent infections and reduced quality of life.
As Pune's only Lymphedema Surgeon, Dr. Thusay offers the complete spectrum of care — from conservative therapy to cutting-edge microsurgical intervention. Unlike most centres in India, PeriFORMÉ can offer both LVA and VLNT — the two gold-standard surgical procedures for lymphedema.
Lymphedema is a chronic condition with no complete cure, but it is highly manageable. CDT (conservative therapy) controls the condition effectively. LVA and VLNT surgery can significantly reduce the swelling and in many cases reduce or eliminate dependence on compression garments.
LVA (Lymphaticovenular Anastomosis) is a microsurgical procedure where blocked lymphatic channels are directly connected to nearby small veins using sutures thinner than a human hair. This creates a bypass, allowing lymph fluid to drain through the venous system, reducing swelling in the limb.
LVA is most effective in early-to-moderate lymphedema (ISL Stage I–II) where functioning lymphatic vessels are still present. It is less effective in advanced, chronic lymphedema (Stage III) where fibrosis has occurred. Dr. Thusay assesses candidacy with lymphoscintigraphy (lymphatic mapping).
LVA creates a bypass by joining existing lymphatics to veins. VLNT transplants healthy lymph nodes from another part of the body to the affected area, essentially 'transplanting' a functional lymph node complex. Each is indicated for different stages and types of lymphedema.
Early intervention gives the best outcomes. Even before visible swelling appears, prophylactic measures and CDT can prevent progression. Once swelling is present, early LVA surgery (within 1–2 years of onset) has the best outcomes.
CDT is effective for controlling lymphedema and must be continued long-term regardless of surgery. For patients with early-stage lymphedema or those not suitable for surgery, CDT alone is the primary treatment. Surgery and CDT are complementary, not mutually exclusive.
LVA is often performed as a day surgery or 1-night admission. VLNT requires 2–5 days of hospitalisation as it is a more complex microsurgical flap procedure. Dr. Thusay will clarify the admission plan during your consultation.
The anastomoses created during LVA remain patent long-term in most patients. Clinical studies show sustained reduction in limb volume and cellulitis episodes at 5+ years post-surgery. Regular follow-up and continued use of compression garments are important.
Pune's only dedicated Lymphedema Surgeon — the right expertise for the right result.